Foam drg <=16 sq in w/border at MEDICAL CITY FRISCO HOSPITAL
5500 Frisco Square Blvd, Frisco, TX · Medicalcityhealthcare · · NPI 1699726406
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$11.84 with BCBS vs $78.19 with Humana — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| BCBS | BlueAdvantageHMO | $11.84 | — |
| BCBS | MyBlueHealth | $11.84 | — |
| Humana | Tricare | $13.42 | — |
| BCBS | BluePremier | $13.42 | — |
| BCBS | MCRPPO | $13.57 | — |
| BCBS | MGMCRHMO | $13.57 | — |
| WellMed | MGMCR | $13.77 | — |
| TriWest Veterans | FEDERAL | $13.84 | — |
| Devoted Health | PPO | $13.84 | — |
| TriWest Health Alliance | TRCR | $13.84 | — |
| Mutual of Omaha | MGMCR | $13.84 | — |
| Amerigroup | DualEligible | $13.84 | — |
| Humana | MGMCR | $13.84 | — |
| Devoted Health | SNP | $13.84 | — |
| Devoted Health | HMO | $13.84 | — |
| Devoted Health | POS | $13.84 | — |
| Devoted Health | MCR | $13.84 | — |
| Devoted Health | MME | $13.84 | — |
| Triwest Veterans | FED | $13.84 | — |
| United | MGMCR | $13.91 | — |
| Aetna | MCR | $13.96 | — |
| Care N Care | MGMCR | $13.98 | — |
| Cigna Healthspring | MGMCR | $14.12 | — |
| WellCare | MGMCR | $14.26 | — |
| Integranet | MGMCR | $14.26 | — |
| Superior Health Plan | MGMCRSNP | $14.53 | — |
| Superior Health Plan | MGMCRPOS | $14.53 | — |
| Superior Health Plan | MGMCRPFFS | $14.53 | — |
| ProCare Advantge | MCR | $14.53 | — |
| Superior Health Plan | MGMCRDualEligible | $14.53 | — |
| American Health Plan of Texas, Inc. | MGMCR | $14.53 | — |
| Superior Health Plan | MGMCRPPO | $14.53 | — |
| Superior Health Plan | MGMCRHMO | $14.53 | — |
| Provider Partners Health Plan | MCR | $14.67 | — |
| Texas Independent Health Plan | MGMCR | $14.67 | — |
| Molina | MMP | $15.09 | — |
| Molina | MME | $15.09 | — |
| Molina | MCR | $15.09 | — |
| Imperial Insurance Company | MCR | $15.22 | — |
| BCBS | BlueEssentialsAccess | $15.23 | — |
| BCBS | BlueEssentials | $15.23 | — |
| BCBS | EPOSOA | $16.02 | — |
| Universal Healthcare Group | MCR | $16.61 | — |
| BCBS | PPO | $16.69 | — |
| Verda Health Plan | MGMCR | $17.99 | — |
| Bravo Health | MCRPOS | $20.76 | — |
| Bravo Health | MCRPPO | $20.76 | — |
| Bravo Health | MCRHMO | $20.76 | — |
| Bravo Health | MCRPFFS | $20.76 | — |
| Bravo Health | MCRSNP | $20.76 | — |
| Superior | ValueHMO | $24.77 | — |
| USA Managed Care | WORKERSCOMP | $26.30 | — |
| Corvel Corporation | WORKERSCOMP | $27.40 | — |
| Superior | EPO | $31.00 | — |
| Superior | HMO | $31.00 | — |
| Molina Healthcare | HIX | $36.26 | — |
| Humana | COMM | $78.19 | — |
Visitor-reported prices
Comments
Foam drg <=16 sq in w/border at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Texas Health Hospital Frisco | Frisco | $112.25 | not published |
| Covenant Children's Hospital | Lubbock | $27.19 | $12.97 – $12.97 |
| St. Joseph Health Madison Hospital | Madisonville | $8.40 | $1.79 – $14.00 |
| St. Joseph Health College Station Hospital | College Station | $8.40 | $6.86 – $14.00 |
| Texas Health Presbyterian Hospital Allen | Allen | $112.25 | not published |
| Texas Health Presbyterian Hospital Flower Mound | Flower Mound | $112.25 | not published |
| St. Joseph Health Grimes Hospital | Navasota | $8.40 | $5.08 – $15.54 |
| Texas Health Harris Methodist Hospital Alliance | Fort Worth | $112.25 | not published |